| Shkreli Psychotherapy, Llc | |
|
158 Greenwood Ave Bethel CT 06801-2530 | |
| (203) 493-4354 | |
| Not Available |
| Full Name | Shkreli Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 158 Greenwood Ave, Bethel, Connecticut |
| Authorized Official Name and Position | Maria E Shkreli (LCSW) |
| Authorized Official Contact | 2034934354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shkreli Psychotherapy, Llc 158 Greenwood Ave Bethel CT 06801-2530 Ph: (203) 493-4354 | Shkreli Psychotherapy, Llc 158 Greenwood Ave Bethel CT 06801-2530 Ph: (203) 493-4354 |
| NPI Number | 1093241556 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 05/08/2017 |
| Medicare PECOS PAC ID | 2860763430 |
|---|---|
| Medicare Enrollment ID | O20170801002228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093241556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria Shkreli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902205875 PECOS PAC ID: 5890079636 Enrollment ID: I20170223000619 |
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